A nurse is caring for a 10-year-old child who is terminally ill. The child's guardian and younger sibling are at the bedside. Which of the following statements should the nurse make to the guardian?
"You should be prepared to answer your child's questions about dying."
"Your child likely views death as temporary."
"You should hide your grief as much as possible around your child."
"You should limit visits between the siblings at this time."
The Correct Answer is A
A. "You should be prepared to answer your child's questions about dying." is appropriate because children at this age may have questions about death and dying. It is important for the guardian to be honest and provide age-appropriate answers to help the child understand and cope with their situation.
B. While younger children often view death as temporary, a 10-year-old child typically has a more developed understanding of the finality of death. This statement might not be accurate for this age group.
C. Hiding grief is not recommended as it can create an atmosphere of secrecy and fear. It is better to model healthy expressions of emotions and provide support for the child's feelings.
D. Limiting visits between siblings may not be necessary and can be detrimental. Sibling support can be very important for both the ill child and the sibling, providing comfort and a sense of normalcy.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"A"},"F":{"answers":"A"}}
Explanation
Continuous pulse oximetry: Anticipated because the infant has respiratory distress and requires continuous monitoring of oxygen saturation.
Chest x-ray: Anticipated to assess the extent of lung involvement due to the respiratory distress and wheezing noted.
Peripheral IV line: Anticipated since the peripheral line will be used to administer intravenous medications and fluids.
Supine position: Contraindicated because the infant prefers to sit upright and shows signs of respiratory distress, such as nasal flaring and retractions.
Small, frequent feedings: Anticipated to ensure adequate nutrition despite feeding difficulties.
Monitor intake and output: Anticipated to assess hydration status, especially since the infant has had decreased intake and output.
Correct Answer is A
Explanation
A. Administering bronchodilator therapy immediately before chest physiotherapy helps open the airways, making the therapy more effective.
B. Administering the bronchodilator 2 hours before is too early to have the desired effect during physiotherapy.
C. Administering the bronchodilator 2 hours after does not support the immediate effectiveness of chest physiotherapy.
D. Administering the bronchodilator immediately after chest physiotherapy does not provide the benefit needed during the procedure.
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